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General NPI Number Information
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NPI Number | 1528206299
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Entity Type | Organization
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Legal Business Name | ADAMARI GOMEZ VILLEGAS
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 63 AVE. PADRE RIVERA
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City | HUMACAO
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State | PR
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Zip | 00791
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Country | US
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Telephone | 787-850-8989
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8388
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City | HUMACAO
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State | PR
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Zip | 00792-8388
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Country | US
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Telephone | 787-850-8989
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | ADAMARI GOMEZ VILLEGAS
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Credential | D.C.
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Telephone | 787-850-8989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 442
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License Number State | PR
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